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MAKE A CHANGE TRANSITIONAL CENTER FOR WOMEN NPI 1619546611


NPI Information

NPI: 1619546611
Provider Name: MAKE A CHANGE TRANSITIONAL CENTER FOR WOMEN
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
11710 BRIAR FOREST DR APT 1806
HOUSTON, TX
ZIP 77077
Phone: (616) 334-3602
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MAKE A CHANGE TRANSITIONAL CENTER FOR WOMEN is a substance abuse rehabilitation facility in Houston, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MAKE A CHANGE TRANSITIONAL CENTER FOR WOMEN NPI is 1619546611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11710 BRIAR FOREST DR APT 1806
HOUSTON, TX
ZIP 77077-043
Phone: (616) 334-3602

The provider's authorized official is Mamie Kelley .
The authorized official title is Founder and has the following contact phone number (616) 334-3602.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 6/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistNo
2251B00000XCase ManagementNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
43104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
5324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.